SHORE ROAD RADIOLOGY ASSOCIATES PC NPI 1811903578

NPI Information

NPI: 1811903578
Provider Name: SHORE ROAD RADIOLOGY ASSOCIATES, PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
150 55TH ST
BROOKLYN, NY
ZIP 11220
Phone: (718) 630-7477
Get Directions

SHORE ROAD RADIOLOGY ASSOCIATES, PC is a diagnostic radiology radiology in Brooklyn, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SHORE ROAD RADIOLOGY ASSOCIATES, PC NPI is 1811903578. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

150 55TH ST
BROOKLYN, NY
ZIP 11220-559
Phone: (718) 630-7477
Fax: (718) 630-7437

The provider's authorized official is Gary Dellacerra .
The authorized official title is Vp Managed Care & Revenue Complianc and has the following contact phone number (718) 630-7103.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 9/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound	16820	NEW YORK	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	16820	NEW YORK	No
3	2085N0904X	Radiology	Nuclear Radiology	16820	NEW YORK	No
4	2085R0202X	Radiology	Diagnostic Radiology	16820	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W08671	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	00809412	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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